Johnson, Cynthia Lynne
Johnson, Cynthia Lynne is an sole proprietor health care provider with primary practice located at 333 Smith Ave N, Mail Route 60222 , St. Paul MN 55102. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Johnson, Cynthia Lynne can be contacted via phone (651) 241-8565.Contact Information
Primary practice address
333 Smith Ave N, Mail Route 60222
St. Paul MN 55102
Phone: (651) 241-8565
Fax: (651) 241-7168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP3230 | Minnesota |
Profile Details
| NPI number | 1639168446 |
|---|---|
| LBN Legal business name | Johnson, Cynthia Lynne |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Mar 11th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639168446 | NPPES |
| Minnesota | MEDICAID | 2147165 |
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